Congenital Partial Bronchial Atresia of Right Middle Lobe- A Rare Cause of Dyspnoea

Abstract

Congenital Bronchial Atresia (CBA) is a rare congenital condition with features of focal obliteration of a proximal segment of a bronchus. Left upper lobe is the most commonly involved lobe. Authors hereby, present a case report of a 17-year-old male who presented with exertional dyspnoea, cough and chest pain. High Resolution Computed Tomography (HRCT) chest showed hyperventilated lung parenchyma with paucity of bronchovascular pattern in right middle lobe. Bronchoscopy revealed right middle lobe bronchial segmental atresia with rudimentary bronchus above that segment. The patient was treated with bronchodilators, steroids and improved symptomatically and advised surgical management. Patient was not willing for the same and hence managed conservatively. Though definite management for CBA is done surgically, medical management can be preferred for patients with mild symptoms and without recurrent infections.

Keywords

• bronchoscopy
• computed tomography chest
• rhonchi